Shared random effects analysis of multi-state Markov models: application to a longitudinal study of transitions to dementia

2006 ◽  
Vol 26 (3) ◽  
pp. 568-580 ◽  
Author(s):  
Juan C. Salazar ◽  
Frederick A. Schmitt ◽  
Lei Yu ◽  
Marta M. Mendiondo ◽  
Richard J. Kryscio
2020 ◽  
Vol 50 (8) ◽  
pp. 1217-1238
Author(s):  
Hao PENG ◽  
Yao WANG ◽  
Ju WANG

2020 ◽  
Vol 55 (4) ◽  
pp. 439-447
Author(s):  
Roland M Jones ◽  
Marianne Van Den Bree ◽  
Stanley Zammit ◽  
Pamela J Taylor

Abstract Aims To quantify the relationship between alcohol and violence with increasing age. Methods Data were from The National Longitudinal Study of Adolescent to Adult Health (ADD Health) of 20,386 people representative of the US population. Mean age at the first wave of interviews was 16.2 years, with subsequent interviews mean of 1, 6.3 and 12.9 years later. We used random-effects models and predictive marginal effects of the association between varying quantities of alcohol consumption and violence while controlling for possible confounders. Results Violence was reported by 19.1% of participants at wave I but just 2.1% at wave IV. The random-effects model showed that consuming 1–4 drinks on each occasion was associated with a modest increase in risk of violence in both males (odds ratio (OR) 1.36, 95% CI 1.13–1.63) and females (OR 1.33, 95% CI 1.03–1.72). For consumption of five or more drinks on each occasion, the risk remained similar for females (OR 1.40 (0.99–1.97)) but increased considerably for males (OR 2.41 (1.96–2.95)). Predictive marginal effects models confirmed that violence rates decreased with age. Conclusions Alcohol is most strongly linked to violence among adolescents, so programmes for primary prevention of alcohol-related violence are best targeted towards this age group, particularly males who engage in heavy episodic drinking.


2006 ◽  
Vol 26 (1) ◽  
pp. 139-155 ◽  
Author(s):  
Lei Liu ◽  
Robert A. Wolfe ◽  
John D. Kalbfleisch

Author(s):  
Giorgio Eduardo Montanari ◽  
Marco Doretti ◽  
Maria Francesca Marino

AbstractIn this paper, an ordinal multilevel latent Markov model based on separate random effects is proposed. In detail, two distinct second-level discrete effects are considered in the model, one affecting the initial probability vector and the other affecting the transition probability matrix of the first-level ordinal latent Markov process. To model these separate effects, we consider a bi-dimensional mixture specification that allows to avoid unverifiable assumptions on the random effect distribution and to derive a two-way clustering of second-level units. Starting from a general model where the two random effects are dependent, we also obtain the independence model as a special case. The proposal is applied to data on the physical health status of a sample of elderly residents grouped into nursing homes. A simulation study assessing the performance of the proposal is also included.


2020 ◽  
Author(s):  
Brett T. McClintock

AbstractHidden Markov models (HMMs) that include individual-level random effects have recently been promoted for inferring animal movement behaviour from biotelemetry data. These “mixed HMMs” come at significant cost in terms of implementation and computation, and discrete random effects have been advocated as a practical alternative to more computationally-intensive continuous random effects. However, the performance of mixed HMMs has not yet been sufficiently explored to justify their widespread adoption, and there is currently little guidance for practitioners weighing the costs and benefits of mixed HMMs for a particular research objective.I performed an extensive simulation study comparing the performance of a suite of fixed and random effect models for individual heterogeneity in the hidden state process of a 2-state HMM. I focused on sampling scenarios more typical of telemetry studies, which often consist of relatively long time series (30 – 250 observations per animal) for relatively few individuals (5 – 100 animals).I generally found mixed HMMs did not improve state assignment relative to standard HMMs. Reliable estimation of random effects required larger sample sizes than are often feasible in telemetry studies. Continuous random effect models performed reasonably well with data generated under discrete random effects, but not vice versa. Random effects accounting for unexplained individual variation can improve estimation of state transition probabilities and measurable covariate effects, but discrete random effects can be a relatively poor (and potentially misleading) approximation for continuous variation.When weighing the costs and benefits of mixed HMMs, three important considerations are study objectives, sample size, and model complexity. HMM applications often focus on state assignment with little emphasis on heterogeneity in state transition probabilities, in which case random effects in the hidden state process simply may not be worth the additional effort. However, if explaining variation in state transition probabilities is a primary objective and sufficient explanatory covariates are not available, then random effects are worth pursuing as a more parsimonious alternative to individual fixed effects.To help put my findings in context and illustrate some potential challenges that practitioners may encounter when applying mixed HMMs, I revisit a previous analysis of long-finned pilot whale biotelemetry data.


2015 ◽  
Vol 62 ◽  
pp. 194-201 ◽  
Author(s):  
Carolin Baumgartner ◽  
Lutz F. Gruber ◽  
Claudia Czado

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